Band Friction Syndrome >
If physical therapy, rest, icing, and pain relievers
do not reduce the symptoms of ITB friction syndrome,
your physician may suggest an injection of a cortisone-type
medication directly into your knee. This option should
be considered if your symptoms persist for more than
a week and a half. The injections are normally administered
two or three times, at two- to three-week intervals.
Your first follow-up visit usually will be within two
to four weeks after the final injection. There usually
are no side effects such as pain or swelling after receiving
an injection of corticosteroid, and you will not need
to immobilize your knee. You probably will be able to
resume rehab exercises within a few days after the treatment.
You should able to resume physical
activity two or three days after a corticosteroid injection
for ITB friction syndrome. Physical therapy exercises
for ITB friction syndrome include stretching the ITB
as well as strengthening exercises for all the muscles
around the knee, particularly the quadriceps and hamstring
muscles. Heat applied to the affected area of your knee
can aid in loosening up the muscles and tendons before
you stretch. You will most likely have to modify your
exercise routine if you participate in activities that
place strain on the ITB, like running or cycling. When
you resume, you may want to begin slowly and gradually
work up to your normal level. You may be able to exercise
with minimal pain, however. Depending on the severity
of your pain, you can decrease your training program
by about 50 percent. If this does not ease your symptoms,
training should be decreased again by 50 percent. You
can also reduce the intensity of your workout - for
example, riding an exercise bike with less resistance
than usual - or eliminating hills from a running workout.
During this time, you can maintain conditioning by focusing
on upper-body exercises. Other types of activities that
will put less stress on your knee include swimming,
water running, and rollerblading. Depending on the severity
of the irritation, pain from ITB friction syndrome usually
subsides over a period of several weeks. If symptoms
persist, you should consult your doctor about considering
more aggressive measures.
The iliotibial band (ITB) rubs against
the outside of the knee as part of the knee's normal
motion. The goal is to prevent this motion from causing
irritation and pain. Following are some steps you can
take to prevent ITB friction syndrome:
sure to stretch and strengthen the muscles around your
knees, particularly the quadriceps, hamstrings, and
hip muscles, in addition to the ITB.
up before you exercise, and stretch after you are done.
your physician check to see if your feet turn inward
excessively (over-pronation), and if they do, make sure
to wear running shoes with proper support and cushioning.
you do a lot of cycling, adjust your seat height so
that you are not stretching too far at the bottom of
the down stroke.
you run frequently at a track, alternate direction (clockwise
and counter-clockwise) to avoid excessive ITB strain
on your outside leg.
not suddenly increase your training duration or intensity;
try to progress in small increments.